Organization Active NPI

Associated Health Care

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1013049113
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301023027 Issued in MI
Legal business name
ASSOCIATED HEALTH CARE
Practice address
2434 Puritan St
Detroit, MI 48238-1416
Phone
(313) 341-7000
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Volna Clermont, M.D.
Title
President
Phone
(313) 341-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301023027 MI Primary

Addresses

Primary practice location

2434 Puritan St
Detroit, MI 48238-1416

Mailing address

2434 Puritan St
Detroit, MI 48238-1416
Phone (313) 341-7000

Other identifiers 2

IdentifierTypeStateIssuer
F42685OtherMIMOLINA HEALTH PLAN
F42685OtherMIOMNICARE HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

2434 Puritan St
Detroit, MI 48238
Phone (313) 341-7000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1013049113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 PURITAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381416",
            "telephone_number": "313-341-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 PURITAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381416",
            "telephone_number": "313-341-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CLERMONT",
        "authorized_official_first_name": "VOLNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-341-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301023027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH PLAN",
            "identifier": "F42685",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE HEALTH PLAN",
            "identifier": "F42685",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.